WAL-MART STORES EAST LP
NPI: 1518984756
· MORGANTON, NC 28655
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
34 |
$376.68 |
| 2021 |
532 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
74 |
72 |
$4K |
| 0002A |
|
129 |
117 |
$4K |
| 0001A |
|
56 |
56 |
$845.00 |
| 90686 |
|
16 |
12 |
$217.08 |
| 90471 |
|
18 |
12 |
$159.60 |
| 91301 |
|
74 |
72 |
$0.00 |
| 91300 |
|
199 |
164 |
$0.00 |